Bruce D Babcock, OD
Individual provider Active NPI Optometrist · Cottage Grove, MN
NPI 1073577417 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1073577417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2518 (MN)
- Practice address
- 8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005 - Phone
- (651) 458-1884
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101110000109 | MN | Practitioner - Optometry | 9931394400 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Optometrist | Current |
Accepting new patients |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
8611 W Point Douglas Rd S
Cottage Grove, MN 55016
Phone (651) 458-1884
9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
Interoperability endpoints
- bbabcock29728@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2518 | MN | Yes |
Addresses
Primary practice location
8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 623829700 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbabcock29728@excellian.direct.allina.com | Direct |
Other providers in Cottage Grove, MN
- Albert Aboudem Atemkeng
- Sara August
- Avalon Programs LLC
- Avanti Medical Group of Minnesota LLC
- Aztec Enitites, LLC
- Peter A Badroos
- Melissa Leigh Bailey
- Breanna Baker
- Jennifer Lynn Baker
- Cynthia Sue Barr
All providers in Cottage Grove, MN · Optometrist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.